Force EZ: Electrosurgical Generator 8CS

User’s Guide
Force EZ
TM
Electrosurgical Generator 8CS

User’s Guide
Force EZ
TM
Electrosurgical Generator 8CS
1013085
Force EZ Electrosurgical Generator 8CS User’s Guide i

Preface
Preface
This manual and the equipment it describes are for use only by qualified medical
professionals trained in the particular technique and surgical procedure to be performed.
It is intended as a guide for using the Covidien Force EZTM Electrosurgical Generator 8CS
only. Additional technical information is available in the Force EZ Electrosurgical Generator
CS/8CS Service Manual.
Equipment covered in this manual
Force EZ Electrosurgical Generator 8CS with Instant ResponseTM Technology 100 - 120 V~
(110 V ~ nominal), 220 - 240 V~ (230 V ~ nominal) - (user selectable)
Conventions Used in this Guide

Warning
Indicates a potentially hazardous situation which, if not avoided, could result in death or serious
injury.
Caution
Indicates a hazardous situation which, if not avoided, may result in minor or moderate injury.
Notice
Indicates a hazard that may result in product damage.
Important
Indicates an operating tip or maintenance suggestion.
ii Force EZ Electrosurgical Generator 8CS User’s Guide

Limited Warranty
Limited Warranty
Covidien warrants each covered product listed below to be free from defects in material
and workmanship for normal use and service for the period(s) set forth below. Covidien’s
obligation under this warranty is limited to the repair or replacement, at its sole option, of
any product, or part thereof, which has been returned to it (or its authorized distributor)
within the applicable time period shown below after delivery of the product to the original
purchaser, and which examination discloses, to Covidien’s satisfaction, that the product is
defective. This limited warranty does not apply to any product, or part thereof, which has
been repaired or altered in a way so as, in Covidien’s judgment, to affect its stability or
reliability, or which has been subjected to misuse, neglect, or accident.
The warranty periods for Covidien products are as follows:
ForceTriadTM Energy Platform One year from date of shipment
Electrosurgical Generators One year from date of shipment
Cool-tipTM RFA Generator One year from date of shipment
EvidentTM MWA Generator One year from date of shipment
RFG-3CTM Plus Lesion Generator One year from date of shipment
LigaSureTM Vessel Sealing System One year from date of shipment
LigaSureTM Reusable Instruments One year from date of shipment
Mounting Fixtures (all models) One year from date of shipment
Footswitches (all models) One year from date of shipment
ValleylabTM Argon Gas Delivery Unit II One year from date of shipment
RapidVacTM Smoke Evacuator One year from date of shipment
LigaSureTM Sterile Single Use Items Sterility only as stated on packaging
Cool-tipTM Sterile Single Use Items Sterility only as stated on packaging
Sterile Single Use Items Sterility only as stated on packaging
Patient Return Electrodes Shelf life only as stated on packaging
Force EZ Electrosurgical Generator 8CS User’s Guide iii

Limited Warranty
Notwithstanding any other provision herein or in any other document or communication,

Covidien’s liability with respect to this limited warranty and the products sold hereunder
shall be limited to the aggregate purchase price for the products sold to the customer. This
limited warranty is non-transferable and runs only to the original purchaser of the covered
product(s). There are no warranties which extend beyond the terms hereof. Covidien
disclaims any liability hereunder or elsewhere in connection with the sale of products and
for any form of indirect, tort, or consequential damages.
This limited warranty and the rights and obligations hereunder shall be construed under
and governed by the laws of the State of Colorado, USA. The sole forum for resolving
disputes arising under or relating in any way to this limited warranty is the District Court
of the County of Boulder, State of Colorado, USA.
Covidien reserves the right to make changes in covered products built or sold by it at any
time without incurring any obligation to make the same or similar changes to equipment
previously built or sold by it.
THE OBLIGATION TO REPAIR OR REPLACE A DEFECTIVE OR NONPERFORMING PRODUCT
IS THE SOLE REMEDY OF THE CUSTOMER UNDER THIS LIMITED WARRANTY. EXCEPT AS
EXPRESSLY PROVIDED HEREIN, COVIDIEN DISCLAIMS ALL OTHER WARRANTIES,
WHETHER EXPRESS OR IMPLIED, ORAL OR WRITTEN, WITH RESPECT TO
PRODUCTS, INCLUDING WITHOUT LIMITATION ALL IMPLIED WARRANTIES,
WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE.
iv Force EZ Electrosurgical Generator 8CS User’s Guide

Table of Contents
Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ii
Conventions Used in this Guide . . . . . . . . . . . . . . . . . . . . . . . . . . . ii
Limited Warranty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .iii
Chapter 1. Introduction
Instant Response Technology . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
Bipolar Modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3
Monopolar Cut and Coag Modes . . . . . . . . . . . . . . . . . . . . . . . . 1-3
Cut Modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3
Coag Modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3
REM Contact Quality Monitoring System . . . . . . . . . . . . . . . . . . 1-4
How the REM System Works. . . . . . . . . . . . . . . . . . . . . . . . 1-4
Electrodes Without the REM Safety Feature . . . . . . . . . . . 1-4
Special Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-5
Desiccate Coag Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-5
Fulgurate Coag Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-5
Recall of Most Recently Used Modes and
Power Settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-5
Default Coag Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-5
Original Default Settings . . . . . . . . . . . . . . . . . . . . . . . . . . 1-6
Chapter 2. Controls, Indicators, and Receptacles
Front Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2
Bipolar Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3
Bipolar Instrument Receptacle . . . . . . . . . . . . . . . . . . . . . . . . . . 2-4
Footswitch Receptacle, Button, and Indicators . . . . . . . . . . . . . 2-4
Monopolar Cut Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-5
Monopolar Coag Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-6
Monopolar Instrument Receptacles . . . . . . . . . . . . . . . . . . . . . . 2-7
Monopolar Footswitching Accessory Receptacle. . . . . . . . 2-7
Monopolar Footswitching or
Handswitching Instrument Receptacle . . . . . . . . . . . . . . . 2-7
REM Alarm Indicator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-8
Rear Panel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-9
Footswitch Receptacles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-10
Monopolar Footswitch Receptacle . . . . . . . . . . . . . . . . . . 2-10
Bipolar Footswitch Receptacle . . . . . . . . . . . . . . . . . . . . . 2-10
Power Entry Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-11
Force EZ Electrosurgical Generator 8CS User’s Guide v

Activation Tone Volume Control . . . . . . . . . . . . . . . . . . . . . . . 2-11
Option Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-12
Chapter 3. Patient and Operating Room Safety
General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
Fire/Explosion. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
Fire Hazard with Oxygen Circuit Connections . . . . . . . . . . 3-3
Electrosurgical Smoke . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
Inadvertent Radio Frequency Burns . . . . . . . . . . . . . . . . . . 3-4
Ensure Proper Connections . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
Servicing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5
Before Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5
Active Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5
Patient Return Electrodes . . . . . . . . . . . . . . . . . . . . . . . . . 3-6
Shunt Cords . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6
Generator. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6
During Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7
Generator Power Settings. . . . . . . . . . . . . . . . . . . . . . . . . . 3-7
Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-8
Suction Coagulators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-8
Contact with Metal Objects . . . . . . . . . . . . . . . . . . . . . . . . 3-8
Active Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-9
Patient Return Electrodes . . . . . . . . . . . . . . . . . . . . . . . . . 3-9
Laparoscopic Procedures . . . . . . . . . . . . . . . . . . . . . . . . . 3-10
After Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-11
Chapter 4. Before Surgery
Quick Setup Instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2
Setting Up the Generator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3
Preparing for Bipolar Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5
Connections for Bipolar Surgery . . . . . . . . . . . . . . . . . . . . 4-5
Setting the Bipolar Output . . . . . . . . . . . . . . . . . . . . . . . . . 4-7
Preparing for Monopolar Surgery. . . . . . . . . . . . . . . . . . . . . . . . 4-8
Connections for Monopolar Surgery . . . . . . . . . . . . . . . . . 4-8
Applying a Patient Return Electrode
to the Patient. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-11
Using Two Generators Simultaneously . . . . . . . . . . . . . . 4-12
Pacemakers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-12
Selecting Cut and Coag Modes. . . . . . . . . . . . . . . . . . . . . 4-13
Set the Cut and Coag Output . . . . . . . . . . . . . . . . . . . . . . 4-13
Setting Up the Special Features . . . . . . . . . . . . . . . . . . . . . . . . 4-14
vi Force EZ Electrosurgical Generator 8CS User’s Guide

Entering the Setup Mode . . . . . . . . . . . . . . . . . . . . . . . . . 4-14
Exiting the Setup Mode . . . . . . . . . . . . . . . . . . . . . . . . . . 4-15
Chapter 5. During Surgery
Checking Accessory Connections. . . . . . . . . . . . . . . . . . . . . . . . . 5-2
Checking the Patient Return Electrode . . . . . . . . . . . . . . . . . . . 5-2
Changing the Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2
Selecting the Power Setting . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
Changing the Power Setting . . . . . . . . . . . . . . . . . . . . . . . 5-4
Techniques for Keeping Power Settings Low . . . . . . . . . . 5-4
Typical Power Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5
Activating the Surgical Instrument . . . . . . . . . . . . . . . . . . . . . . . 5-6
Activation Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-7
Adjusting the Volume of Activation Tones . . . . . . . . . . . . . . . . 5-7
Responding to Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-8
REM Alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-8
Non-REM Patient Return Electrode Alarm. . . . . . . . . . . . . 5-8
System Alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-8
Chapter 6. After Surgery
Preparing the Generator for Reuse. . . . . . . . . . . . . . . . . . . . . . . 6-2
Storing the Generator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2
Chapter 7. Troubleshooting
General Troubleshooting Guidelines . . . . . . . . . . . . . . . . . . . . . 7-2
Correcting a REM Alarm Condition. . . . . . . . . . . . . . . . . . . . . . . 7-2
Checking for Obvious Problems . . . . . . . . . . . . . . . . . . . . . 7-2
Performing a Detailed Inspection . . . . . . . . . . . . . . . . . . . 7-3
Applying Additional REM
Patient Return Electrodes . . . . . . . . . . . . . . . . . . . . . . . . . . 7-3
Correcting Malfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-5
Responding to System Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . 7-11
Chapter 8. Maintenance and Repair
Responsibility of the Manufacturer . . . . . . . . . . . . . . . . . . . . . . 8-2
Routine Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-2
Returning the Generator for Service . . . . . . . . . . . . . . . . . . . . . 8-3
Service Centers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-4
Chapter 9. Technical Specifications
Performance Characteristics . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-2
General. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-2
Dimensions and Weight . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-2
Force EZ Electrosurgical Generator 8CS User’s Guide vii

Operating Parameters. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-2
Transport and Storage . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-3
Duty Cycle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-3
Internal Memory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-3
Audio Volume . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-4
REM Contact Quality Monitor . . . . . . . . . . . . . . . . . . . . . . 9-5
Serial Port. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-6
RF Activation Port . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-6
Low Frequency (50–60 Hz) Leakage Current . . . . . . . . . . . 9-6
High Frequency (RF) Leakage Current . . . . . . . . . . . . . . . . 9-7
Input Power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-7
Power Cord Specification . . . . . . . . . . . . . . . . . . . . . . . . . . 9-8
Standards and IEC Classifications . . . . . . . . . . . . . . . . . . . . . . . . 9-8
Class I Equipment (IEC 60601-1) . . . . . . . . . . . . . . . . . . . . . 9-9
Type CF Equipment (IEC 60601-1)/
Defibrillator Proof . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-9
Liquid Spillage (IEC 60601-2-2 Clause 44.3) . . . . . . . . . . . . 9-9
Electromagnetic Interference . . . . . . . . . . . . . . . . . . . . . . 9-9
Electromagnetic Compatibility (IEC 60601-1-2 and
IEC 60601-2-2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-10
Voltage Transients (Emergency Generator
Mains Transfer) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-10
Output Characteristics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-11
Maximum Output for Force EZ-8CS
Generator Modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-11
Available Power Settings in Watts . . . . . . . . . . . . . . . . . . 9-11
Output Waveforms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-14
Output Power vs. Resistance Graphs. . . . . . . . . . . . . . . . . . . . . 9-15
Bipolar Graph . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-15
Monopolar Cut Graphs . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-17
Monopolar Coag Graphs. . . . . . . . . . . . . . . . . . . . . . . . . . 9-19
Output Power vs. Generator Settings . . . . . . . . . . . . . . . . . . . . 9-24
viii Force EZ Electrosurgical Generator 8CS User’s Guide

Chapter 1
Introduction
This chapter includes the following information:

• Instant Response technology
• Bipolar modes
• Monopolar cut and coag modes
• REM Contact Quality Monitoring System
• Special features of the Force EZ electrosurgical generator 8CS
Caution
Read all warnings, cautions, and instructions provided with this generator before using.
Read the instructions, warnings, and cautions provided with electrosurgical accessories before
using. Specific instructions are not included in this manual.
Force EZ Electrosurgical Generator 8CS User’s Guide 1-1

Instant Response Technology
The Covidien Force EZ Electrosurgical Generator 8CS (also called the Force EZ-8CS
generator in this guide) with Instant Response technology is an isolated output
electrosurgical generator that provides power for cutting, desiccating, and fulgurating
tissue during bipolar and monopolar surgery.
It includes the following features:
• Instant Response technology
• Standard bipolar mode
• Two monopolar cut modes: pure and blend
• Two monopolar coag modes: desiccate and fulgurate
• The Covidien REM Contact Quality Monitoring System
• Handswitch or footswitch activation
• User selectable coag settings
• User selectable default settings
• Adjustable activation tone volume
• An RF activation port and RS-232 serial port
• Argon Gas Delivery Unit II system compatibility
• Tilt support provided by the bottom mounted handle or use with Covidien carts
Covidien electrosurgical generators, patient return electrodes, and active accessories are
designed to work as a system. Covidien offers a selection of patient return electrodes and
electrosurgical instruments that are fully compatible with this generator. When
considering other manufacturer’s patient return electrodes and/or active accessories,
customers should seek detailed user instructions and warning information from the
manufacturer.
Instant Response Technology

The Force EZ-8CS generator automatically senses resistance and adjusts the output
voltage, current and power to maintain a consistent effect across different tissue density.
This adjustment is based on the selected mode, power setting, and level of tissue
resistance.
The maximum output voltage is controlled to reduce capacitive coupling and video
interference and to minimize sparking. This technology applies to the standard bipolar
mode, the cut modes, and the desiccate 2 and desiccate 3 coag settings. It does not apply
to the desiccate 1, fulgurate 1, and fulgurate 2 coag settings.
1-2 Force EZ Electrosurgical Generator 8CS User’s Guide

Bipolar Modes
Introduction
Bipolar Modes
The Force EZ-8CS generator provides a standard bipolar mode usable for most bipolar
applications.
Delicate tissue requires less heat to desiccate quickly. The generator provides low voltage,
continuous current for faster desiccation without sparking.
The possibility of sparking increases as desiccated tissue dries and becomes more resistant.
The generator protects against sparking by limiting the bipolar voltage at relatively high
levels of tissue resistance.
For details about the bipolar output characteristics, refer to Chapter 9, Technical
Specifications.
Monopolar Cut and Coag Modes
Cut Modes
Two cut modes—pure and blend—allow a wide range of power settings necessary to
perform diverse surgical procedures.
• Pure provides an even cut with little or no hemostasis. It offers good cutting
performance over a wide range of tissue resistance.
• Blend provides cutting ability with additional hemostasis.
Coag Modes
Two coagulation modes help control the size of the area and the depth of penetration
during tissue coagulation. The desiccate mode has three settings; the fulgurate mode, two
settings. You can select, as default settings, one desiccate setting and one fulgurate
setting. For a description of each setting, refer to Special Features on page 1-5.
• DESICCATE dehydrates and destroys tissue without sparking or cutting. Because the
active electrode directly touches the tissue, more current reaches the patient.
Desiccation places the greatest demand on the patient return electrode.
• FULGURATE coagulates tissue by sparking from the active electrode, through air, to
the patient tissue. Since sparks may spray unpredictably from the electrode during
fulguration, using fulguration for delicate tissue or in confined areas can complicate
surgery. Accidental sparking to adjacent areas can occur as tissue at the surgical site
dries and becomes more resistant to current flow.
For details about the output characteristics, refer to Chapter 9, Technical Specifications.

REM Contact Quality Monitoring System
REM Contact Quality Monitoring System

During monopolar electrosurgery, a patient return electrode is always required to safely
recover the current that flows through the patient’s body and return it to the generator. A
reduction in surface area contact or poor conductivity between the patient and the return
electrode can cause the current to become concentrated, potentially resulting in burns at
the return electrode site.
The Force EZ-8CS generator uses the REM Contact Quality Monitoring System to monitor
the quality of electrical contact between the patient return electrode and the patient. The
REM system is designed to minimize the risk of burns at the return electrode site due to a
reduction in patient contact area during monopolar electrosurgery. Use of any return
electrode other than a REM PolyhesiveTM patient return electrode may compromise the
REM safety feature. This could result in a patient burn.
How the REM System Works

The REM system continuously measures the resistance at the return electrode site and
compares it to a standard range of safe resistance (between 5 and 135 ohms), thus
eliminating intermittent false alarms that could result from small changes in resistance.
The REM system also adapts to individual patients by measuring the initial contact
resistance between the patient and the patient return electrode and lowering the baseline
resistance if the contact resistance drops.
A REM alarm sounds and the generator stops producing output power when either of
the following occurs:
• The measured resistance is below 5 ohms or above 135 ohms, the limits of the
standard range of safe resistance.
• An increase in contact resistance is greater than 40% from the baseline measurement.
Electrodes Without the REM Safety Feature

Warning
Using a patient return electrode without the REM safety feature will not activate the REM Contact
Quality Monitoring System.
When you use a patient return electrode that does not have the REM safety feature, the
REM system cannot monitor the patient contact area as previously described. The REM
system can monitor only the pin-to-pin resistance at the connector and can detect broken
wires or connectors in the return electrode cord.

Special Features
Introduction
Special Features
Five special features allow customizing the Force EZ-8CS generator. You can access these
features only in the setup mode. For details on selecting these features, refer to Setting Up
the Special Features on page 4-14.
Desiccate Coag Settings

The low (desiccate) coag mode provides three settings with subtle differences in output
characteristics:
• Desiccate 1 is appropriate for the majority of surgical procedures. It provides tissue
desiccation with a minimal tendency to cut or spark.
• Desiccate 2 produces tissue desiccation and further reduces the chance of cutting or
sparking by using the lowest possible voltage (200 Vrms).
• Desiccate 3 uses a slightly higher voltage (300 Vrms) than the desiccate 2 setting, but
offers comparable desiccation.
Fulgurate Coag Settings

The fulgurate coag mode provides two settings:
• Fulgurate 1 produces coagulation of smaller areas without touching the electrode tip
to the tissue.
• Fulgurate 2 produces coagulation of larger areas without touching the electrode tip
to the tissue.
Recall of Most Recently Used Modes and Power Settings

When you activate this feature, the Force EZ-8CS generator will, when turned on, revert
to the most recently used modes and power settings.
Default Coag Mode

Important
The default coag mode feature is available only when the most recently used modes and power
settings feature is turned off.
You can select either desiccate or fulgurate as the default coag mode for the Force EZ-8CS
generator. Each time you turn on the generator, it automatically selects the default coag
mode.

Special Features
Original Default Settings

This feature resets the Force EZ-8CS generator to the original default setting for each
mode, power setting, and special feature. The next time you turn on the generator, it
automatically selects the original default settings.
Mode or Feature Original Default Setting
Monopolar Pure
Coag Fulgurate
Desiccate coag setting 1 (desiccate 1)
Fulgurate coag setting 2 (fulgurate 2)
Last used modes and power settings 1 (on)

Chapter 2
Controls, Indicators, and Receptacles
This chapter describes the front and rear panels, including all controls, indicators,
receptacles, the fuse drawer, and ports.

Front Panel
Front Panel
1 2 3
4 5 6 7 8 9 10 11 12
① Bipolar controls
② Cut controls
③ Coag controls
④ Power switch
This switch supplies power to the generator.
To turn on the generator, press (|).
To turn off the generator, press (O).
⑤ Bipolar instrument receptacle
⑥ Footswitch selector button
⑦ Footswitch receptacle
⑧ Footswitch indicators
⑨ Monopolar footswitching accessory receptacle
⑩ Monopolar footswitching or handswitching instrument receptacle
⑪ REM alarm indicator
⑫ Patient return electrode receptacle
For monopolar electrosurgery, connect a patient return electrode to this receptacle.

Bipolar Controls
Bipolar Controls
Controls, Indicators,
and Receptacles
3
① Bipolar display
Shows the power setting, in watts, for standard bipolar mode.
② Bipolar indicator
When you activate bipolar, this bar illuminates blue and an activation tone sounds.
③ Bipolar Power Control Knob
To increase (+) the power, turn the knob clockwise.
To decrease (–) the power, turn the knob counterclockwise.

Bipolar Instrument Receptacle
Bipolar Instrument Receptacle

Caution
Accessories must be connected to the proper receptacle type. In particular, bipolar accessories must
be connected to the Bipolar Instrument receptacle only. Improper connection may result in
inadvertent generator activation or a REM Contact Quality Monitor alarm.
You can connect either a footswitching or handswitching bipolar instrument to the Bipolar
instrument receptacle.
Connect a footswitching instrument with a two-pin connector.

or
Connect a handswitching instrument with a three-pin connector.
Footswitch Receptacle, Button, and Indicators

Connect a two-pedal Valleylab monopolar footswitch to this receptacle. Press the
Footswitch Selector button to select bipolar or accessory output.
Use only a Valleylab monopolar footswitch with the Force EZ-8CS generator. Use of an
incompatible footswitch may cause unexpected output.
When the left arrow indicator illuminates green, the footswitch activates the instrument
connected to the Bipolar Instrument receptacle.

Monopolar Cut Controls
When the right arrow indicator illuminates green, the footswitch activates the instrument
connected to the Monopolar Footswitching Accessory receptacle.
The footswitch will not activate an instrument connected to the Monopolar Footswitching
or Handswitching Instrument receptacle.
Monopolar Cut Controls

2
and Receptacles
1
① Cut display
Shows the power setting, in watts, for cut output.
② Cut indicator
When you activate cut, this bar illuminates yellow and an activation tone sounds.
③ Cut Power Control Knob
④ Pure Button
Select for an even cut with little or no hemostasis.
⑤ Blend Button
Select for slower cutting and additional hemostasis.

Monopolar Coag Controls
Monopolar Coag Controls
① Coag display
Shows the power setting, in watts, for coag output.
② Coag indicator
When you activate the generator in coag mode, this bar illuminates blue and an
activation tone sounds.
③ Coag Power Control Knob
④ Low (Desiccate) Button
Select to desiccate the area of tissue that is in direct contact with the active electrode.
⑤ High (Fulgurate) Button
Select to fulgurate an area of tissue with a spray of sparks.

Monopolar Instrument Receptacles
Monopolar Instrument Receptacles

Warning
The instrument receptacles on this generator are designed to accept only one instrument at a time.
Do not attempt to connect more than one instrument at a time into a given receptacle. Doing so
will cause simultaneous activation of the instruments.
and Receptacles
Monopolar Footswitching Accessory Receptacle
Connect a monopolar footswitching instrument with a single-pin connector to this
receptacle.
To activate the instrument, connect a monopolar footswitch to the front panel.
Monopolar Footswitching or Handswitching Instrument

Receptacle
You can connect either a handswitching instrument (three-pin connector) or a
footswitching instrument (single-pin connector) to this receptacle.
To activate a footswitching instrument, connect a monopolar footswitch to the rear panel.

Some footswitching instruments may require a single-pin adapter (E0502 Series) or E0017,
available from Covidien.

REM Alarm Indicator
REM Alarm Indicator

This indicator illuminates red until you properly apply a REM Polyhesive patient return
electrode to the patient and connect it to the generator. Then the indicator illuminates
green. (When you connect an electrode without the REM safety feature, the indicator does
not illuminate.)
If the REM system senses an alarm condition, the indicator flashes red until you correct the
alarm condition—then the indicator illuminates green. (If you are using a return electrode
without the REM safety feature, the red indicator light is extinguished when you correct
the alarm condition.)

Rear Panel
Rear Panel
and Receptacles
2 3 4 5 6
① Power entry module

② Monopolar Footswitch receptacle
③ Bipolar Footswitch receptacle
④ Volume control
⑤ Option panel
⑥ Equipotential grounding lug
Use to connect the generator to earth ground.

Footswitch Receptacles
Footswitch Receptacles
Monopolar Footswitch Receptacle

Connect a two-pedal Valleylab monopolar footswitch to this receptacle if you connect an
instrument to the Monopolar Footswitching or Handswitching Instrument receptacle on
the front panel.
The footswitch will not activate instruments connected to the Bipolar Instrument or
Monopolar Footswitching Accessory receptacles on the front panel.
Bipolar Footswitch Receptacle

Connect a single-pedal bipolar footswitch to this receptacle if you connect an instrument
to the Bipolar Instrument receptacle on the front panel.
The footswitch will not activate instruments connected to the Monopolar Instrument or
Monopolar Footswitching Accessory receptacles on the front panel.

Power Entry Module
Power Entry Module

The power entry module consists of a power cord receptacle and a fuse drawer.
and Receptacles
2
① Fuse drawer
The fuse drawer contains two fuses. Refer to the Force EZ Electrosurgical Generator
CS/8CS Service Manual for instructions on changing the fuses.
② Power cord receptacle
Activation Tone Volume Control

Turn to adjust the volume of the tones that sound when the generator is activated
(activation tone). To ensure that the surgical team is alerted to inadvertent activation, these
tones cannot be silenced.
To increase the volume of activation tones, turn the knob clockwise.

To decrease the volume, turn the knob counterclockwise.

Option Panel
Option Panel
A removable plate on the rear panel covers a serial port and an RF (radio frequency)
activation port. Remove this plate to obtain information through the RS-232 port or to
install a peripheral device such as a Bipolar Current Monitor, but retain the original cover
plate. After obtaining information or removing a peripheral device, reinstall the original
cover plate.
To review the technical specifications for each port, refer to Chapter 9, Technical
Specifications.
① RF Activation port
Allows a connected device to receive information during RF activation of the generator,
which will then generate a response in the device.
② Serial port
Allows connection of a computer to the generator. You can obtain information about
the generator using RS-232 communications protocol. Refer to the Force EZ
Electrosurgical Generator CS/8CS Service Manual.

Chapter 3
Patient and Operating Room Safety
The safe and effective use of electrosurgery depends to a large degree upon
factors solely under the control of the operator. There is no substitute for a
properly trained and vigilant surgical team. It is important that the operating
instructions supplied with this or any electrosurgical equipment be read,
understood, and followed.
Electrosurgery has been used safely in numerous procedures. Before starting any
surgical procedure, the surgeon should be trained in the particular technique and
surgical procedure to be performed, should be familiar with the medical literature
related to the procedure and potential complications, and should be familiar with
the risks versus the benefits of utilizing electrosurgery in the procedure.

General
General
Warning
Do not use electrosurgical equipment unless properly trained to use it in the specific procedure
being undertaken. Use by physicians without such training has resulted in serious, unintended
patient injury, including bowel perforation and unintended, irreversible tissue necrosis.
Hazardous Electrical Output This equipment is for use only by trained, licensed physicians.
Always use the lowest output setting necessary that achieves the desired surgical effect. The active
electrode should be utilized only for the minimum time necessary in order to lessen the possibility
of unintended burn injury. Pediatric applications and/or procedures performed on small anatomic
structures may require reduced power settings. The higher the current flow and the longer the
current is applied, the greater the possibility of unintended thermal damage to tissue, especially
during use on small structures.
Use electrosurgery with caution in the presence of internal or external pacemakers. Interference
produced by the use of electrosurgical devices can cause devices such as a pacemaker to enter an
asynchronous mode or can block the pacemaker effect entirely. Consult the pacemaker
manufacturer or hospital Cardiology Department for further information when use of
electrosurgical appliances is planned in patients with cardiac pacemakers.
If the patient has an internal cardiac defibrillator (ICD), contact the ICD manufacturer for
instructions before performing an electrosurgical procedure. Electrosurgery may cause multiple
activations of ICDs.
Covidien recommends against performing laparoscopic surgery on pregnant patients.
Caution
Read all warnings, cautions, and instructions provided with this generator before using.
For surgical procedures where the current could flow through delicate parts of the body, the use
of bipolar techniques may be desirable in order to avoid unwanted coagulation.
Always use the lowest output setting that achieves the desired surgical effect. The active electrode
should be utilized only for the minimum time necessary in order to lessen the possibility of
unintended burn injury. Pediatric applications and/or procedures performed on small anatomic
structures may require reduced power settings. The higher the current flow and the longer the
current is applied, the greater the possibility of unintended thermal damage to tissue, especially
during use on small appendages.

General
Fire/Explosion
Warning
Danger: Explosion Hazard Do not use electrosurgery in the presence of flammable anesthetics.
Fire/Explosion Hazard The following substances will contribute to increased fire and explosion
hazards in the operating room:
• Flammable substances (such as alcohol based skin prepping agents and tinctures)
• Naturally occurring flammable gases which may accumulate in body cavities such as the bowel
• Oxygen enriched atmospheres

• Oxidizing agents (such as nitrous oxide [N2O] atmospheres).
The sparking and heating associated with electrosurgery can provide an ignition source. Observe
fire precautions at all times. When using electrosurgery in the same room with any of these
substances or gases, prevent their accumulation or pooling under surgical drapes, or within the
area where electrosurgery is performed.
Fire Hazard with Oxygen Circuit Connections

Warning
Fire/Explosion Hazard Verify that all oxygen circuit connections are leak free before and during
the use of electrosurgery. Verify that endotracheal tubes are leak free, and that the cuff is properly
Patient and Operating

sealed to prevent oxygen leaks. Enriched oxygen atmospheres may result in fires and burns to
patients or the surgical team.
Room Safety
Electrosurgical Smoke
Caution
Studies have shown that smoke generated during electrosurgical procedures can be potentially
harmful to patients and the surgical team. These studies recommend adequately ventilating the
smoke by using a surgical smoke evacuator or other means.1
1. U.S. Department of Health and Human Services. National Institute for Occupational Safety and
Health (NIOSH). Control of Smoke from Laser/Electric Surgical Procedures. HAZARD CONTROLS,
Publication No. 96-128, September, 1996.

General
Inadvertent Radio Frequency Burns

Warning
Electrodes and probes used with monitoring, stimulation, and imaging devices (or similar
equipment) can provide a path for high frequency current even if the electrodes or probes are
isolated at 50-60 Hz, insulated, and/or battery operated.
To reduce the risk of an inadvertent electrosurgical burn at the electrode or probe site, place the
electrode and/or probe as far away as possible from the electrosurgical site and/or patient return
electrode. Protective impedances (resistors or RF inductors) installed in the monitoring leads may
reduce the risk of such burns. Consult the hospital biomedical engineer for further information.
Do not use needles as monitoring electrodes during electrosurgical procedures. Inadvertent

electrosurgical burns may result.
In some circumstances, potential exists for alternate site burns at points of skin contact (e.g.,
between the arm and the side of the body). This occurs when electrosurgical current seeks a path
to the patient return electrode that includes the skin to skin contact point. Current passing through
small skin to skin contact points is concentrated and may cause a burn. This is true for grounded,
ground referenced, and isolated output generators.
To reduce the potential for alternate site burns, do one or more of the following:
• Avoid skin-to-skin contact points, such as fingers touching leg, when positioning the patient.
• Place five to eight centimeters (two to three inches) of dry gauze between contact points to
ensure that contact does not occur.
• Position the patient return electrode to provide a direct current route between the surgical site
and the return electrode which avoids skin-to-skin contact areas.
• In addition, place patient return electrodes according to the manufacturer’s instructions.
Potential for alternate site burns increases if the return electrode is compromised. Covidien
recommends the use of REM Polyhesive patient return electrodes and Covidien generators with the
REM system.
Ensure Proper Connections

Caution
Examine all accessories and connections to the electrosurgical generator before using. Ensure that
the accessories function as intended. Improper connection may result in arcs, sparks, accessory
malfunction, or unintended surgical effects.
Accessories
Warning
Do not wrap the accessory cords or patient return electrode cords around metal objects. This may
induce currents that could lead to shocks, fires, or injury to the patient or surgical team.

Before Surgery
Servicing
Warning
Electric Shock Hazard Do not remove the cover. Contact authorized personnel for service.
Notice
Refer to this generator’s service manual for maintenance recommendations and function and
output power verification procedures.
Before Surgery
Active Accessories
Warning
Electric Shock Hazard Do not connect wet accessories to the generator.
Connect accessories to the proper receptacle. Improper connection may result in inadvertent
accessory activation or other potentially hazardous conditions. Follow the instructions provided
with electrosurgical accessories for proper connection and use.

Electric Shock Hazard Ensure that all accessories and adapters are correctly connected and that
no metal is exposed.
Room Safety
Caution
Connect accessories to the proper receptacle type. In particular, bipolar accessories must be
connected to the Bipolar receptacle only. Improper connection of accessories may result in
inadvertent generator activation or a REM Contact Quality Monitor alarm.
Set power levels to the lowest setting before testing an accessory.
Inspect accessories and cords (especially reusable accessories and cords) for breaks, cracks, nicks,
and other damage before every use. If damaged, do not use. Failure to observe this precaution may
result in injury or electrical shock to the patient or surgical team.
Do not reuse or resterilize accessories labeled “disposable” or “single use only.”

Before Surgery
Patient Return Electrodes

Covidien recommends the use of REM Polyhesive patient return electrodes to maximize
patient safety.
Warning
The safe use of monopolar electrosurgery requires proper placement of the patient return
electrode. To avoid electrosurgical burns beneath the patient return electrode, follow all directions
on the product package for proper return electrode placement and use.
Do not cut a patient return electrode to reduce its size. Patient burns due to high current density
may result.
Do not apply a patient return electrode if only bipolar accessories are being used. Otherwise, the
electrosurgical effect may not be limited to the tissue between the bipolar electrodes.
Covidien recommends against the use of capacitive pads. These pads do not activate the REM
Contact Quality Monitoring System and require the use of higher power settings to achieve the
desired surgical effect. This increases the possibility of alternate site burns.
Shunt Cords
Warning
Some surgical instruments (e.g., colonoscopes) may allow substantial leakage current which could
burn the surgeon. If the instrument manufacturer recommends the use of a shunt cord (s-cord) to
direct the current back to the generator, you must also use a Covidien E0507-B adapter. To avoid
a REM alarm, you must use a REM Polyhesive patient return electrode with the E0507-B adapter.
Generator
Warning
Patient Safety Use the Force EZ-8CS generator only if the self-test has been completed as
described. Otherwise, inaccurate power outputs may result.
Electric Shock Hazard Connect the generator power cord to a properly grounded receptacle.
Do not use power plug adapters.
Fire Hazard Do not use extension cords.

During Surgery
Caution
Do not stack equipment on top of the generator or place the generator on top of electrical
equipment (except an Argon Gas Delivery Unit II). These configurations are unstable and/or do not
allow for adequate cooling.
When using a smoke evacuator in conjunction with the electrosurgical generator, place the smoke
evacuator a distance from the generator and set the generator volume control at a level that
ensures that the activation tones can be heard.
Provide as much distance as possible between the electrosurgical generator and other electronic
equipment (such as monitors). An activated electrosurgical generator may cause interference with
them.
Do not turn the activation tone down to an inaudible level. The activation tone alerts the surgical
team when an accessory is active.
Nonfunction of the generator may cause interruption of surgery. A backup generator should be
available for use.
Notice
If required by local codes, connect the generator to the hospital equalization connector with an
equipotential cable.
Connect the power cord to a wall receptacle having the correct voltage. Otherwise, product
damage may result.

Room Safety
During Surgery
Generator Power Settings

Warning
Confirm proper power settings before proceeding with surgery. Use the lowest power setting
possible for the minimum time necessary to achieve the desired effect.
Never increase the power settings without first checking both the active electrode and the patient
return electrode and their connections. Use the active electrode or forceps only for the minimum
time necessary to achieve the desired surgical effect in order to minimize the possibility of burns.
This is especially true in pediatric and neonatal patients or in any patient where small structures are
involved.

During Surgery
Caution
The Force EZ-8CS generator cuts and coagulates (desiccate 2 and desiccate 3 settings only)
effectively at power settings lower than previous models offered by Covidien. Fulguration is similar
to previous models in effectiveness at a given power setting. If the proper setting is not known, set
the generator at a very low setting and cautiously increase the power until the desired effect is
achieved.
Forceps
Notice
Do not activate the generator until the forceps have made contact with the patient. Product
damage may occur.
Suction Coagulators
Warning
To avoid the possibility of a burn to the surgeon, always turn the generator off before bending or
reshaping the coagulator suction tube.
Ensure that the outside of the coagulator suction tube remains free of blood and mucus. Failure to
clean the coagulator suction tube can allow electrical conductance by means of the contaminants
that may result in patient burns.
Do not immerse the suction coagulator handswitch mechanism in saline solution or other
conductive fluids. Unintended activation may result.
Contact with Metal Objects

Warning
Contact of the active electrode with any metal will greatly increase current flow and can result in
unintended surgical effect.
While using electrosurgery, the patient should not be allowed to come into direct contact with
grounded metal objects (e.g., surgical table frame, instrument table, etc.). If this is not possible
during certain procedures (e.g., those in which noninsulated head frames are used), use extreme
caution to maximize patient safety:
• Use the lowest power setting that achieves the desired effect.
• Place the patient return electrode as close to the surgical site as possible.
• Place dry gauze between the patient and the grounded object if possible.
• Continually monitor the contact point(s).

During Surgery
Active Accessories
Warning
Fire Hazard Do not place active accessories near or in contact with flammable materials (such as
gauze or surgical drapes). Electrosurgical accessories that are activated or hot from use can cause
a fire. Use a holster to hold electrosurgical accessories safely away from patients, the surgical team,
and flammable materials.
Simultaneously activating suction/irrigation and electrosurgical current may result in increased

arcing at the electrode tip, burns to unintended tissues, or shocks and burns to the surgical team.
Some surgeons may elect to “buzz the hemostat” during surgical procedures. It is not
recommended, and the hazards of such a practice probably cannot be eliminated. Burns to the
surgeon’s hands are possible. To minimize the risk:
• Do not lean on the patient, the table, or the retractors while buzzing the hemostat.
• Activate cut rather than coag. Cut has a lower voltage than coag.
• Use the lowest power setting possible for the minimum time necessary to achieve hemostasis.
• Activate the generator after the accessory makes contact with the hemostat. Do not arc to the
hemostat.
• Firmly grasp as much of the hemostat as possible before activating the generator. This disperses
the current over a larger area and minimizes the current concentration at the finger tips.
• “Buzz the hemostat” below hand level (as close as possible to the patient) to reduce the

opportunity for current to follow alternate paths through the surgeon’s hands.
• When using a stainless steel blade electrode, place the flat surface against the hemostat or
Room Safety
other metal instrument.
• When using a coated or nonstick blade electrode, place the edge of the electrode against the
hemostat or other metal instrument.
When not using active accessories, place them in a holster or in a clean, dry, nonconductive, and
highly visible area not in contact with the patient. Inadvertent contact with the patient may result
in burns.
Patient Return Electrodes

Warning
To avoid patient burns, ensure that the patient return electrode firmly contacts the skin. Always
check the patient return electrode periodically and after the patient is repositioned and during
procedures involving long periods of activation.

During Surgery
Laparoscopic Procedures
Warning
For laparoscopic procedures, be alert to these potential hazards:
• Laparoscopic surgery may result in gas embolism due to insufflation of gas in the abdomen.
• The electrode tip may remain hot enough to cause burns after the electrosurgical current is
deactivated.
• Inadvertent activation or movement of the activated electrode outside of the field of vision may
result in injury to the patient.
• Localized burns to the patient or physician may result from electrical currents carried through
conductive objects (such as cannulas or scopes). Electrical current may be generated in
conductive objects by direct contact with the active electrode, or by the active accessory
(electrode or cable) being in close proximity to the conductive object.
• Do not use hybrid trocars that are composed of both metal and plastic components. For the
operative channel, use all metal or all plastic systems. At no time should electrical energy pass
through hybrid systems. Capacitive coupling of RF current may cause unintended burns.
• When using laparoscopic instrumentation with metal cannulas, the potential exists for
abdominal wall burns to occur due to direct electrode contact or capacitive coupling of RF
current. This is most likely to occur in instances where the electrosurgical generator is activated
for extended periods at high power levels inducing high current levels in the cannula.
• Ensure that the insulation of disposable and reusable laparoscopic instrumentation is intact and
uncompromised. Compromised insulation may lead to inadvertent metal-to-metal sparking
and neuromuscular stimulation and/or inadvertent sparking to adjacent tissue.
• Do not activate electrodes while in contact with other instruments as unintended tissue injury
may occur.
• Do not activate the generator in an open circuit condition. To reduce the chances of
unintended burns, activate the generator only when the active electrode is near or touching
the target tissue.
• Use the lowest power setting that achieves the desired surgical effect and use a low voltage
waveform (pure cut or desiccate) to lessen the potential for the creation of capacitive currents.
• Carefully insert and withdraw active electrodes from cannulas to avoid possible injury to the
patient or damage to the devices.

After Surgery
After Surgery
Warning
Electric Shock Hazard Always turn off and unplug the generator before cleaning.
Caution
Notice
Do not clean the generator with abrasive cleaning or disinfectant compounds, solvents, or other
materials that could scratch the panels or damage the generator.

Room Safety

Chapter 4
Before Surgery
This chapter contains the following procedures:

• Preparing the Force EZ-8CS generator for surgery
• Preparing for bipolar surgery
• Preparing for monopolar surgery
• Setting up the special features
Caution
Read all warnings, cautions, and instructions provided with this generator before use.
Read the instructions, warnings, and cautions provided with electrosurgical accessories before use.
Specific instructions are not included in this manual.

Quick Setup Instructions
Quick Setup Instructions

If you are familiar with the Force EZ-8CS generator, you may prefer to follow this
abbreviated procedure.
However, if you are not familiar with how the generator should be set up, refer to Setting
Up the Generator on page 4-3 for instructions.
1. Plug the generator power cord into the rear panel receptacle.
2. Plug the generator power cord into a grounded wall receptacle.
3. Turn on the generator and verify that the self-test is successfully completed.
4. Prepare for bipolar or monopolar electrosurgery:
Bipolar surgery:
• If using a footswitch, connect it to the appropriate footswitch receptacle on the
front or rear panel.
• Connect the instrument to the appropriate instrument receptacle on the front
panel.
• Verify or change and power settings.
(Optional – to display and use the previous setting, press the PURE and BLEND
buttons simultaneously.)
Monopolar surgery:
• If using a footswitch, connect it to the appropriate footswitch receptacle on the
front or rear panel. Use only a Valleylab monopolar footswitch with the Force
EZ-8CS generator.
• Connect the instrument to the appropriate instrument receptacle on the front
panel.
• Apply the patient return electrode to the patient and connect it to the Patient
Return Electrode receptacle on the front panel.
• Press and hold the DESICCATE button to verify the selected desiccate coag setting.
The selected setting flashes in the Coag display.
(To change the desiccate coag setting, refer to Setting Up the Special Features on
page 4-14.)
• Press and hold the FULGURATE button to verify the selected fulgurate coag
setting. The selected setting flashes in the Coag display.
(To change the fulgurate coag setting, refer to Setting Up the Special Features on
page 4-14.)
• Verify or change the mode and power settings.
(Optional – to display and use the previous setting, press the PURE and BLEND
buttons simultaneously.)

Setting Up the Generator

Warning
Electric Shock Hazard Connect the generator power cord to a properly grounded receptacle.
Do not use power plug adapters.
Fire Hazard Do not use extension cords.
Patient Safety Use the generator only if the self-test has been completed as described.
Otherwise, inaccurate power outputs may result.
Caution
Provide as much distance as possible between the electrosurgical generator and other electronic
equipment (such as monitors). An activated electrosurgical generator may cause interference with
them.
Nonfunction of the generator may cause interruption of surgery. A backup generator should be
available for use.
Do not turn the activation tone down to an inaudible level. The activation tone alerts the surgical
When using a smoke evacuator in conjunction with the electrosurgical generator, place the smoke
evacuator a distance from the generator and set the generator volume control at a level that
ensures that the activation tones can be heard.
Notice
If required by local codes, connect the generator to the hospital equalization connector with an
equipotential cable.
Connect the power cord to a wall outlet having the correct voltage. Otherwise product damage
may result.
1. Verify the generator is off by pressing the power switch off (O).
2. Place the generator on a stable flat surface, such as a table, platform, or Covidien cart.
Before Surgery
Carts with conductive wheels are recommended. For details, refer to the procedures
for your institution or to local codes.
Provide at least 4 to 6 in. (10 to 15 cm) of space from the sides and top of the generator
for cooling. Normally, the top, sides, and rear panel are warm when the generator is
used continuously for extended periods of time.
3. Plug the generator power cord into the rear panel receptacle.
4. Plug the generator power cord into a grounded receptacle.

5. Turn on the generator by pressing the power switch on ( | ). Verify the following:
• All visual indicators and displays on the front panel illuminate.
• Activation tones sound to verify that the speaker is working properly.
Important
Status for the most recently used mode and power settings feature momentarily appears in the Cut
display. The selected desiccate setting and fulgurate setting momentarily appear in the Coag
display.
6. If the self-test is successful, a tone sounds. Verify the following:

• Either the PURE button indicator or the BLEND button indicator illuminates green,
and either the DESICCATE button indicator or the FULGURATE button indicator
illuminates green.
• The right arrow indicator at the Footswitch Selector button illuminates green.
• Each display shows a power setting of 1 watt.
• The REM Alarm indicator illuminates red.
If the self-test is not successful, an alarm tone sounds. A number may momentarily
appear in the Cut display and, in most cases, the generator is disabled. Note the
number and refer to Responding to System Alarms on page 7-11.
Once the self-test is successful, connect the accessories and set the generator controls.
Refer to Preparing for Bipolar Surgery on page 4-5 or Preparing for Monopolar Surgery on
page 4-8.

Preparing for Bipolar Surgery

If you plan to use a footswitching bipolar instrument, you must connect a footswitch. You
may also use a footswitch to activate a handswitching instrument.
Connections for Bipolar Surgery

Warning
Electric Shock Hazard
• Do not connect wet accessories to the generator.
• Ensure that all accessories and adapters are correctly connected and that no metal is exposed.
Do not apply a patient return electrode if only bipolar accessories are being used. Otherwise, the
electrosurgical effect may not be limited to the tissue between the bipolar electrodes.
Caution
result in injury or electric shock to the patient or surgical team.
Connect accessories to the proper receptacle type. In particular, you must connect bipolar
accessories to the Bipolar Instrument receptacle only. Improper connection of accessories may
result in inadvertent generator activation or a REM Contact Quality Monitor alarm.
Before Surgery

Bipolar connections (footswitch activation from the Bipolar Footswitch receptacle on the
rear panel)
BIPOLAR
① Footswitching or handswitching instrument

② Bipolar footswitch
Bipolar connections (footswitch activation from the Footswitch receptacle on the front
panel)
2
3
① Handswitching or footswitching instrument

② Valleylab monopolar footswitch
③ Press the Footswitch Selector button until the left arrow indicator illuminates green.

Bipolar connection (handswitching instrument)
① Handswitching instrument
Setting the Bipolar Output

Caution
1. To increase (+) the power, turn the Bipolar Power Control knob clockwise. To decrease
(-) the power, turn the knob counterclockwise. The maximum power setting for bipolar
output is 70 watts.
2. To display and use the previous power setting, press the PURE and BLEND buttons
simultaneously.
Before Surgery

Preparing for Monopolar Surgery

If you plan to use a footswitching monopolar instrument, you must connect a Valleylab
monopolar footswitch. You may also use a footswitch to activate a handswitching
instrument.
For most procedures, you will connect only one monopolar instrument (handswitching or
footswitching).
Connections for Monopolar Surgery

Warning
Electric Shock Hazard
• Do not connect wet accessories to the generator.
• Ensure that all accessories and adapters are correctly connected and that no metal is exposed.
Connect accessories to the proper receptacle. Improper connection may result in inadvertent
accessory activation or other potentially hazardous conditions. Follow the instructions provided
with electrosurgical accessories for proper connection and use.
Caution
result in injury or electrical shock to the patient or surgical team.

Monopolar connections (handswitching instrument)
① Handswitching instrument
② Patient return electrode
Before Surgery

Monopolar connections (footswitch activation from the Monopolar Footswitch receptacle

on the rear panel)
① Handswitching or footswitching instrument

(footswitching instrument requires adapter)
② Patient return electrode
③ Valleylab monopolar footswitch

Monopolar connections (footswitch activation from the Footswitch receptacle on the front
panel)
4
2
① Valleylab monopolar footswitch

② Footswitching instrument
③ Patient return electrode
④ Press the Footswitch Selector button until the right arrow indicator illuminates green.
Applying a Patient Return Electrode to the Patient

Warning
The safe use of monopolar electrosurgery requires proper placement of the patient return
electrode. To avoid electrosurgical burns beneath the patient return electrode, follow all directions
on the product package for proper return electrode placement and use.
Do not cut a patient return electrode to reduce its size. Patient burns due to high current density
may result.
Before Surgery
Covidien recommends using REM Polyhesive patient return electrodes to maximize patient
safety. Using a patient return electrode without the REM safety feature may result in a
patient burn.

Refer to the manufacturer’s instructions for application site and placement procedures.
When using metal plate patient return electrodes, use a conductive gel specifically
designed for electrosurgery.
Using Two Generators Simultaneously

Caution
Two generators (and two patient return electrodes) may be used simultaneously on the
same patient, provided the generators are the same type (both are isolated or both are
ground referenced).
However, the two generators are not synchronized. One return electrode frequently
acquires a high positive voltage while the other acquires an opposite negative voltage.
When this occurs, the potential voltage difference between them may cause the current
to flow from one patient return electrode to the other. The current causes no harm if it
produces no sparks or high current densities on the patient.
Place each patient return electrode as close as possible to the site of the surgery to be
performed by the generator to which it is connected. Ensure that the two patient return
electrodes do not touch.
Pacemakers
Warning
Use electrosurgery with caution in the presence of internal or external pacemakers. Interference
produced by the use of electrosurgical devices can cause devices such as a pacemaker to enter an
asynchronous mode or can block the pacemaker effect entirely. Consult the pacemaker
manufacturer or hospital Cardiology Department for further information when use of
electrosurgical appliances is planned in patients with cardiac pacemakers.
If the patient has an internal cardiac defibrillator (ICD), contact the ICD manufacturer for
instructions before performing an electrosurgical procedure. Electrosurgery may cause multiple
activations of ICDs.
To avoid interference with pacemakers, place the patient return electrode as close as
possible to the site of surgery. Make sure the path the current follows from the site of
surgery to the return electrode does not pass through the vicinity of the heart or the site
where the pacemaker is implanted.

Selecting Cut and Coag Modes

Caution
To display and use the previous power settings, press the PURE and BLEND buttons
simultaneously.
1. To select a cut mode, press the PURE or BLEND button. The corresponding indicator
illuminates green.
2. To select a coag mode, press the DESICCATE or Fulgurate button. The indicator in the
button of the selected mode illuminates green.
To verify the selected desiccate or fulgurate coag setting, press and hold the
DESICCATE or Fulgurate button. While you press the DESICCATE button, a 1
(desiccate 1), 2 (desiccate 2), or 3 (desiccate 3) appears in the Coag display. While you
press the Fulgurate button, a 1 (fulgurate 1) or 2 (fulgurate 2) appears in the Coag
display. For a description of the desiccate and fulgurate coag settings, refer to Special
Features on page 1-5. To change these settings, refer to Setting Up the Special Features
on page 4-14.
Set the Cut and Coag Output

1. To increase (+) the power, turn the Cut or Coag Power Control knob clockwise.
2. To decrease (–) the power, turn the knob counterclockwise.
The generator allows the following maximum power settings:
Mode Power
Pure cut 300 watts
Blend cut 200 watts
Desiccate coag and fulgurate coag 120 watts

Before Surgery

Setting Up the Special Features

Five special features are available to customize the Force EZ-8CS generator. For an
explanation of each feature, refer to Special Features on page 1-5. Refer to the following
table for setup information. You must enter the setup mode to modify the special features.
Entering the Setup Mode

Important
During the setup mode, dashes (---) appear in the Bipolar display and the Bipolar Power Control
knob has no function.
Press the Footswitch Selector button, the DESICCATE button, and the FULGURATE
button simultaneously.
A number (1, 2, or 3) appears in the Coag display, and the indicator in the DESICCATE or
FULGURATE button flashes.
Special Action Cut Cut Coag Coag

Feature Display Button Display Button
Indicator Indicator
Desiccate 1. Press the DESICCATE ––– blank 1, 2, or 3 DESICCATE

coag button. flashes
settings
2. Turn the Coag Power
Control knob to select
the desired setting:
1 = desiccate 1 (default)
2 = desiccate 2
3 = desiccate 3
Fulgurate 1. Press the FULGURATE ––– blank 1 or 2 FULGURATE

settings
2. Turn the Coag Power
Control knob to select
the desired setting:
1 = fulgurate 1
2 = fulgurate 2 (default)

Special Action Cut Cut Coag Coag

Feature Display Button Display Button
Indicator Indicator
Recall of 1. Press the Pure button. 0 or 1 PURE ––– blank

most flashes
recently 2. Turn the Cut Power
used Control knob to turn on
modes or turn off this feature:
and
0 = off
power
settings 1 = on (default)
Default Press the DESICCATE ––– blank 1, 2, or 3 DESICCATE

mode1
or FULGURATE
––– blank 1 or 2
flashes
Press the FULGURATE
button. (default)
Original Press the PURE and BLEND The generator resets all modes, power settings, and
default buttons simultaneously. special features to the original factory defaults.
settings
A tone sounds.
1. The default coag mode feature is available only when the most recently used modes and power
settings feature is turned off. When you exit the setup mode, the generator saves the coag mode
selected at that time as the default coag mode.
Exiting the Setup Mode

To exit and save changes, press the Footswitch Selector button. If you changed the
desiccate or fulgurate coag settings during the setup mode, these new settings will be in
effect. Otherwise, the generator returns to the modes and power settings (bipolar, cut,
and coag) selected before entering the setup mode.
To exit and not save changes, press the power switch off (O).
Before Surgery

Chapter 5
During Surgery
This chapter covers the following topics:

• Checking accessory connections
• Checking the patient return electrode
• Changing the mode
• Selecting the power setting
• Activating the surgical instrument
• Adjusting the volume of activation tones
• Responding to alarms
Caution
Read all warnings, cautions, and instructions provided with this generator before use.

Checking Accessory Connections
Checking Accessory Connections

Warning
Do not wrap the accessory cords or patient return electrode cords around metal objects. This may
induce currents that could lead to shocks, fires, or injury to the patient or surgical team.
Caution
Examine all accessories and connections to the electrosurgical generator before use. Ensure that
the accessories function as intended. Improper connection may result in arcs, sparks, accessory
malfunction, or unintended surgical effects.
Verify that all accessories are properly connected to the generator. When multiple
accessories are used, keep cords separate. To reduce cross coupling, do not twist, bundle,
or clamp cords together.
Checking the Patient Return Electrode

Warning
To avoid patient burns, ensure that the patient return electrode firmly contacts the skin. Always
check the patient return electrode periodically and after the patient is repositioned and during
procedures involving long periods of activation.
If a higher than expected power setting seems to be required or if the patient is

repositioned, check the patient return electrode for secure placement and check all
connecting cables for continuity.
Changing the Mode

Verify the selected cut and coag modes with the surgeon. You cannot change the mode
while the generator is activated.
To change the mode, press the desired cut or coag mode button. The indicator in the
button of the selected mode illuminates green. You can activate only one mode at a time.
To verify the selected desiccate or fulgurate coag setting, press and hold the DESICCATE
or FULGURATE button. While you press the DESICCATE button, a 1 (desiccate 1), 2
(desiccate 2), or 3 (desiccate 3) appears in the Coag display. While you press the
FULGURATE button, a 1 (fulgurate 1) or 2 (fulgurate 2) appears in the Coag display. For
a description of the desiccate and fulgurate coag settings, refer to Special Features on
page 1-5. To change these settings, refer to Setting Up the Special Features on page 4-14.

Selecting the Power Setting
During Surgery
When you change the cut or coag mode, the power setting remains the same unless it
exceeds the maximum for the new mode. In that case, it reverts to the maximum for the
new mode. For example, if you set the power to 250 watts for Pure cut, when you select
Blend, the power setting changes to 200 watts, the maximum for Blend. If, however, you
set the power to 65 watts in the desiccate coag mode, when you select fulgurate, the
power setting does not change because it falls within that mode’s range.

Warning
Confirm proper power settings before proceeding with surgery. Use the lowest power setting
possible for the minimum time necessary to achieve the desired effect.
Never increase the power settings without first checking both the active electrode and the patient
return electrode and their connections. Use the active electrode or forceps only for the minimum
time necessary to achieve the desired surgical effect in order to minimize the possibility of burns.
This is especially true in pediatric and neonatal patients or in any patient where small structures are
involved.
During a surgical procedure, the amount of current delivered during a given time period
determines the amount of heating that occurs under the electrode. All Covidien patient
return electrodes are designed for use during traditional surgical procedures and duty
cycles (on time compared to off time). Users should consult the Technical Specifications
section of the generator user manual for the recommended maximum duty cycle
specifications.
It is not possible to foresee what combination of current and duty cycle may be safely used
in every situation, such as when higher currents and/or longer duty cycles are used on
procedures such as tissue lesioning, tissue ablation, tissue vaporization, and procedures
where conductive fluid is introduced into the surgical site. Under these conditions there
can be greater risk that the heating under a fully applied return electrode may be high
enough to injure the patient.
When using a Covidien generator or patient return electrode during these types of surgical
procedures the user should seek written guidance from the manufacturer of the active
accessory regarding the currents and duty cycles that can be expected as well as detailed
user instructions. In some instances, the application of additional patient return electrodes
may help mitigate the increased risk.

Changing the Power Setting

Verify the power settings for the selected modes with the surgeon. You can change the
power setting when the generator is on, including when it is activated.
To increase (+) the power, turn the Bipolar, Cut, or Coag Power Control knob clockwise.
To decrease (–) the power, turn the appropriate knob counterclockwise.
As you turn the knob, the power changes by one setting (1, 5, or 10 watts), based on the
settings available for the selected mode. Chapter 9, Technical Specifications, lists the
available power settings.
When you change the power setting while the Force EZ-8CS generator is activated, the
power changes by one setting per second to prevent rapid increases or decreases in power
to the surgical site. If you try to set the power above the maximum setting or below the
minimum setting, a tone sounds.
Techniques for Keeping Power Settings Low

The power setting required to produce the desired surgical effect varies depending on the
surgeon’s technique, the selected mode, and the size of the active electrode. Low power
settings reduce the amount of current delivered to the patient, minimize the demand on
the patient return electrode, and help protect the patient and surgical team from
accidental burns and shocks.
The following are techniques for keeping power settings low.
Concentrating the current by using a small active electrode.

The smaller the active electrode, the higher the current density it delivers to tissue, and the
less power it requires to produce the same surgical effect. For example, a needle electrode
cuts at a lower power setting than a blade electrode. A small ball electrode desiccates or
fulgurates tissue at a lower power setting than a large ball electrode.
Coagulating tissue by using fulguration rather than desiccation.

Because fulguration sparks to a wider area of tissue, surface coagulation can be achieved
with a lower power setting using fulgurate rather than desiccate.
Cutting by sparking rather than by desiccating tissue.

Cut produces continuous sparks that cut cleanly and quickly when the active electrode is
held just above the tissue and kept in motion. Placing the active electrode in contact with
the tissue produces desiccation that increases tissue resistance. A higher power setting
may be required to overcome the increased resistance.

During Surgery
Using bipolar surgery.
Bipolar surgery requires lower power because the amount of tissue included in the
electrosurgical circuit is limited to the tissue that is grasped by the bipolar instrument.
Typical Power Settings

Use the following list of typical power settings for various surgical procedures as a general
guideline.
Caution
The Force EZ Electrosurgical Generator 8CS cuts and coagulates (desiccate 2 and desiccate 3
settings only) effectively at power settings lower than previous models offered by Covidien.
Fulguration is similar to previous models in effectiveness at a given power setting. If the proper
setting is not known, set the generator at a very low setting and cautiously increase the power until
the desired effect is achieved.
Power Surgical Procedure
Low Power Dermatology

< 30 watts
Laparoscopic sterilization (both bipolar and monopolar)
Neurosurgery (both bipolar and monopolar)
Oral surgery
Plastic surgery
Polypectomy
Vasectomy
Medium Power General surgery

Cut: 30–60 watts
Head and neck surgery (ENT)
Coag: 30–70 watts
Laparotomy
Orthopedic surgery (major)
Thoracic surgery (routine)
Vascular surgery (major)
High Power Ablative cancer surgery, mastectomies, etc.

Cut: > 60 watts (cut 60-120 watts; coag 70–120 watts)
Coag: > 70 watts
Thoracotomy (heavy fulguration 70–120 watts)
Transurethral resections (cut 100–170 watts; coag
70-120 watts, depending on the thickness of the resection
loop and the technique)

Activating the Surgical Instrument
Activating the Surgical Instrument

Notice
Do not activate the generator until the forceps have made contact with the patient. Product
damage may occur.
To activate a handswitching instrument, use the controls on the instrument or on the

appropriate footswitch. To activate a footswitching instrument, you must use a footswitch.
To reduce the possibility of alternate site burns that may be caused by RF leakage currents,
avoid unnecessary and prolonged activation of the generator.
If a bipolar output is used when a return electrode is applied to the patient, the return
electrode circuit is automatically deactivated to eliminate the possibility of current
dispersal.

Activation Indicators
During Surgery
Activation Indicators
Handswitching Footswitching Activation Indicator
Bipolar Close forceps tines Bipolar footswitch Activation tone sounds –

firmly connected to rear Bipolar indicator illuminates
panel – press pedal blue
or
Monopolar
footswitch
connected to front
panel – verify that
the left arrow at the
Footswitch Selector
button illuminates
and press either
pedal
Monopolar Press CUT or COAG Monopolar Activation tone sounds – Cut

button footswitch indicator illuminates yellow or
connected to front Coag indicator illuminates
or
panel – verify that blue
Close forceps tines the right arrow at the
firmly Footswitch Selector
button illuminates
and press the cut or
coag pedal
or
Monopolar
footswitch
connected to rear
panel – press the cut
or coag pedal
Adjusting the Volume of Activation Tones

Caution
Do not decrease the activation tone to an inaudible level. The activation tone alerts the surgical
To change the volume of activation tones, turn the Volume knob on the rear panel:
• Clockwise, to increase the volume
• Counterclockwise, to decrease the volume.
You cannot silence the activation tones or adjust the alarm tone volume.

Responding to Alarms
Responding to Alarms
REM Alarm
A tone sounds twice, and the REM Alarm indicator flashes red. The indicator remains red
and RF output is disabled until the alarm condition is corrected. When you correct a REM
alarm condition, output is enabled and the REM Alarm indicator illuminates green.
Important
After successful completion of the self-test, the REM Alarm indicator flashes red and a tone sounds
twice. No corrective action is required.
Alarm Situations
The following conditions can generate a REM alarm:
• The patient return electrode is not connected to the generator when the generator is
activated for monopolar surgery.
• The return electrode does not have adequate contact with the patient.
• The contact area is reduced due to movement, loss of adhesion, fluid pooling, or dry
contact gel.
• The return electrode cord is damaged, causing excessive resistance.
To correct an alarm condition, refer to Correcting a REM Alarm Condition on page 7-2.
Non-REM Patient Return Electrode Alarm

When a non-REM patient return electrode is connected and the generator detects a cord
fault condition, the REM Alarm indicator illuminates red. When you correct the alarm
condition, the indicator is extinguished.
System Alarm
When the generator senses a system alarm condition, an alarm tone sounds and the
generator is deactivated. An alarm number flashes in the Cut display on the front panel.
1. Turn off the generator.
2. Turn on the generator and verify that the self-test is completed successfully. If the alarm
number reappears, note the number and refer to Responding to System Alarms on
page 7-11.
If you are unable to correct the system alarm condition, use a backup generator to
complete the surgical procedure.

Chapter 6
After Surgery
This chapter includes the following instructions:

• Preparing the Force EZ-8CS generator for reuse
• Storing the generator

Preparing the Generator for Reuse
Preparing the Generator for Reuse

Caution
Step 1 – Disconnect the Accessories

A. Turn off the generator.
B. If applicable, remove the patient return electrode from the patient. Disconnect all
accessories from the front panel.
• If the accessory is disposable (single use only), dispose of it according to the
procedures for your institution.
• If the accessory is reusable, clean and sterilize it according to the manufacturer’s
instructions.
C. Disconnect and store any footswitch(es) used.
Step 2 – Clean the Generator
Warning
Notice
A. Turn off the generator, and unplug the power cord from the wall outlet.
B. Thoroughly wipe all surfaces of the generator and power cord with a mild cleaning
solution or disinfectant and a damp cloth. Follow the procedures approved by your
institution or use a validated infection control procedure. Do not allow fluids to
enter the chassis. The generator cannot be sterilized.
Storing the Generator

If the generator is stored at a temperature outside its normal operating range of 50° to
104° F (10° to 40° C), allow it to sit at room temperature for one hour prior to use.
The generator can be stored indefinitely. However, if you store it longer than one year, you
must perform specific checkout procedures before use (refer to the service manual).

Chapter 7
Troubleshooting
This chapter includes the following procedures:

• Correcting a REM alarm condition
• Correcting malfunctions
• Responding to system alarms

General Troubleshooting Guidelines
General Troubleshooting Guidelines

If the Force EZ-8CS generator malfunctions, check for obvious conditions that may have
caused the problem:
• Check the generator for visible signs of physical damage.
• Make sure the fuse drawer is tightly closed.
• Verify that all cords are connected and attached properly.
• If an error code is displayed, turn off and then turn on the generator.
If the malfunction persists, the generator may require service. Contact your institution’s
Biomedical Engineering Department.
Correcting a REM Alarm Condition

Sometimes the condition causing a REM alarm is readily apparent; for example, the plug
is not fully inserted into the generator receptacle. At other times, the condition causing
the REM alarm is more difficult to determine. This procedure for determining the alarm
condition starts with the obvious, then presents more detail.
Checking for Obvious Problems

To begin determining the condition causing a REM alarm, follow these steps:
1. Verify that the patient return electrode cord is correctly connected to the generator.
2. Inspect the plug, cord, and the connection of the cord to the return electrode. If you
find evidence of excessive wear, cracks, breaks, or other visible damage, replace the
return electrode and/or the cord.
3. Verify that the return electrode is in contact with the patient, per the package
instructions for applying the return electrode.
4. If the REM alarm persists:
If you are using a REM Polyhesive patient return electrode, perform a detailed
inspection. Refer to Performing a Detailed Inspection on page 7-3.
or
If you are using a patient return electrode without the REM safety feature, apply a new
patient return electrode and/or use a backup generator to complete the surgical
procedure.

Performing a Detailed Inspection

If your first check found no obvious condition causing a REM alarm, perform a more
detailed inspection. Follow these steps:
1. Inspect the return electrode connector.
• Unplug the patient return electrode from the generator.
• Verify that the pin on the plug is present and not bent. Carefully reinsert the plug
into the Patient Return Electrode receptacle. Ensure that the pin enters the hole and
that the plug inserts fully.
If the alarm persists, go to the next step.
2. Apply firm pressure over the entire surface area of the patient return electrode,
particularly the center.
3. If the REM alarm persists, apply another REM Polyhesive patient return electrode.
Applying Additional REM Patient Return Electrodes

If your inspections have been unable to determine the condition causing the REM alarm,
apply another REM Polyhesive patient return electrode. Follow this procedure:
1. Apply a second patient return electrode.
a. Unplug the patient return electrode from the generator. Do not remove it from the
patient.
Troubleshooting
b. Apply a second REM electrode to an appropriate site and connect it to the Patient
Return Electrode receptacle on the generator.
Applying a second REM electrode
① Second REM electrode

If the alarm clears, leave the generator on during draping to avoid disturbing the return
electrode. Remove the return electrode that is not in use.

2. Apply a third patient return electrode.

a. Unplug the second patient return electrode from the generator. Do not remove
either the first or the second return electrode from the patient.
b. Apply a third REM electrode to the patient and connect it to the Patient Return
Electrode receptacle. Select the next best, well vascularized, convex area close to
the surgical site.
Applying a third REM electrode
① Third REM Electrode

If the alarm clears, leave the generator on during draping to avoid disturbing the
return electrode. Remove the return electrodes that are not in use.
3. Unplug the patient return electrode from the generator.
Use a Covidien multiple return/S cord adapter (E0507-B) to connect two patient return
electrodes to the generator.
a. Insert the adapter into the Patient Return Electrode receptacle.
Attaching two REM electrodes to the generator simultaneously
① Adapter

Correcting Malfunctions
b. Insert the plugs of two of the patient return electrodes into the adapter. Choose
the two return electrodes that are on the most vascularized, convex areas in closest
proximity to the surgical site.
If the alarm clears, leave the generator on during draping to avoid disturbing the
return electrodes. Remove the return electrode that is not in use.
If the REM alarm persists, use a backup generator and repeat these steps.
When you correct a REM alarm condition, the generator enables itself and the REM Alarm
indicator changes as described below:
• If you are using a REM Polyhesive patient return electrode, the indicator illuminates
green.
• If you are using a patient return electrode without the REM safety feature, the
generator extinguishes the red indicator light.
If a solution is not readily apparent, use the table below to help identify and correct specific
malfunctions. After you correct the malfunction, verify that the generator completes the
self-test as described in Setting Up the Generator on page 4-3.
Situation Possible Cause Solution
Troubleshooting
Abnormal neuromuscular Metal-to-metal sparking Check all connections to the
stimulation (stop surgery generator, patient return
immediately) electrode, and active
electrodes.
Can occur during coag (more Use a lower power setting for
likely when fulgurating than the fulgurate mode or select
when cutting, and unlikely the desiccate mode.
when desiccating)
Abnormal 50–60 Hz leakage Refer to your Biomedical

currents Engineering Department or
contact a Covidien
Representative for assistance.

Generator does not Disconnected power cord or Check power cord connections
respond when turned on faulty wall outlet (generator and wall outlet).
Connect the power cord to a
functional outlet.
Faulty power cord Replace the power cord.
Fuse drawer is open or fuses Close the fuse drawer. Replace

are blown the blown fuse(s). Refer to the
Force EZ Electrosurgical
Generator CS/8CS Service
Manual.
Internal component Use a backup generator. Refer

malfunction to your Biomedical Engineering
Department or contact a
Covidien Representative for
assistance.
Generator is on, but did not Software malfunction Turn off, then turn on the
complete the self-test generator.
Internal component Use a backup generator. Refer

malfunction to your Biomedical Engineering
Department or contact a
assistance.

Generator is on and Malfunctioning footswitch or Turn off the generator. Check

accessory is activated, but handswitching instrument and correct all accessory
generator does not deliver connections.
output
Turn on the generator. Replace
the accessory if it continues to
malfunction.
Incompatible footswitch Use only a Valleylab

monopolar footswitch with
the Force EZ-8CS generator.
Footswitch is connected to Verify all accessory

front panel Footswitch connections.
receptacle, but arrow indicator
Press the Footswitch Selector
at Footswitch Selector button
button to illuminate the arrow
does not indicate desired
indicator for the desired
instrument receptacle
instrument receptacle: the left
arrow indicator illuminates for
the Bipolar Instrument
receptacle; the right arrow
indicator illuminates for the
Monopolar Footswitching
Accessory receptacle.
Footswitch connected to front Connect the footswitch to the

panel Footswitch receptacle is rear panel Monopolar
Troubleshooting
being used for surgical Footswitch receptacle.
instrument connected to
or
Handswitching Instrument If you are using a footswitching
receptacle instrument, connect it to the
Accessory receptacle.
Footswitch connected to rear Connect the footswitch to the

panel Monopolar Footswitch front panel Footswitch
receptacle is being used for receptacle
instrument connected to
or
Monopolar Footswitching
Accessory receptacle Connect the instrument to the
Handswitching Instrument
receptacle.
Power is set too low Increase the power setting.

Refer to Changing the Power
Setting on page 5-4 .
Continued on next page.

Generator is on and An alarm condition exists Check the Cut display for an
accessory is activated, but alarm number. Note the
generator does not deliver number and refer to
output Responding to System Alarms
on page 7-11.
(Continued)
In case of a REM alarm, refer to
Correcting a REM Alarm
Condition on page 7-2.
Internal component Use a backup generator.

malfunction Contact your Biomedical
Engineering Department or a
assistance.
Continuous monitor Faulty chassis-to-ground Check and correct the chassis

interference connections ground connections for the
monitor and for the generator.
Check other electrical
equipment in the room for
defective grounds.
Electrical equipment is Plug all electrical equipment

grounded to different objects into line power at the same
rather than a common ground. location. Contact your
The generator may respond to Biomedical Engineering
the resulting voltage Department or a Covidien
differences between grounded Representative for assistance.
objects.
Malfunctioning monitor Replace the monitor.

Interference with other Metal-to-metal sparking Check all connections to the

devices only when the generator, patient return
generator is activated electrode, and accessories.
High settings used for Use lower power settings for

fulguration fulguration mode or select the
desiccate mode.
Electrically inconsistent ground Verify that all ground wires are

wires in the operating room as short as possible and go to
the same grounded metal.
If interference continues when Ask your Biomedical

the generator is activated, the Engineering Department to
monitor is responding to check with the manufacturer
radiated frequencies. of the monitor.
Some manufacturers offer RF
choke filters for use in monitor
leads. The filters reduce
interference when the
generator is activated and
minimize the potential for an
electrosurgical burn at the site
of the monitor electrode.
Troubleshooting

Pacemaker interference Intermittent connections or Check the active and patient

metal-to-metal sparking return electrode cord
connections.
It may be necessary to
reprogram the pacemaker.
Current traveling from active to Use bipolar instruments, if

return electrode during possible.
monopolar electrosurgery is
If you must use a monopolar
passing too close to
instrument, place the patient
pacemaker.
return electrode as close as
possible to the surgical site.
Make sure the current path
from the surgical site to the
patient return electrode does
not pass through the vicinity of
the heart or the site where the
pacemaker is implanted.
Always monitor patients with
pacemakers during surgery and
keep a defibrillator available.
Consult the pacemaker
manufacturer or hospital
Cardiology Department for
further information when use
of electrosurgical appliances is
planned in patients with
cardiac pacemakers.
Internal Cardiac ICD is activated by Stop the procedure and

Defibrillator (ICD) activation electrosurgical generator. contact the ICD manufacturer
for instructions.

Responding to System Alarms

When a system alarm condition exists, an alarm tone sounds and a number flashes in the
Cut display. The generator is disabled until the condition is cleared.
Most system alarms require some action on your part to correct the condition; however,
some are corrected automatically. Use the following table to determine how to correct an
alarm condition.
After correcting the alarm condition, verify that the generator completes the self-test as
described in Setting Up the Generator on page 4-3.
Number Description Recommended Action
0-7 Microcontroller malfunction Contact your Biomedical Engineering

Department.
10 Software malfunction Turn off, then turn on the generator. If the alarm
number reappears, record the number and call
the Covidien Service Center.
11-14 16 Diagnostic/microcontroller Contact your Biomedical Engineering

malfunction Department.
17-19 Internal component Do not attempt to use the generator. Record the
malfunction number and call the Covidien Service Center.
30-32 40 Software malfunction Turn off, then turn on the generator. If the alarm
50-51 number reappears, record the number and call
Troubleshooting
54-55 the Covidien Service Center.
57-66
67 Internal diagnostics Turn off, then turn on the generator. If the alarm
68 Microcontroller malfunction Contact your Biomedical Engineering

Department.
69-71 80 Software malfunction Turn off, then turn on the generator. If the alarm
81 Internal component Do not attempt to use the generator. Record the

90 95 Microcontroller malfunction Contact your Biomedical Engineering

Department.
100-105 Software malfunction Turn off, then turn on the generator. If the alarm
120 Calibration malfunction Contact your Biomedical Engineering

Department.

122 Calibration malfunction Contact your Biomedical Engineering

Department.

Department.
127-128 Internal component Do not attempt to use the generator. Record the
150 number reappears, record the number and call

Department.

Department.
159 Internal diagnostics Contact your Biomedical Engineering

Department.
160 Internal component Contact your Biomedical Engineering

malfunction Department.
161, 163 Dosage error Do not attempt to use the generator. Record the
number and call the Covidien Service Center.
164-166 Dosage error Contact your Biomedical Engineering

Department.

Department.
180-185 Internal diagnostics Contact your Biomedical Engineering

Department.

191 Cut mode buttons (Pure and/ Turn off, then turn on the generator. Ensure
or Blend) may be stuck that no buttons or accessory activation devices
are pressed during the self-test.
192 Coag mode buttons
(desiccate and/or fulgurate) If the alarm number reappears, disconnect all
may be stuck accessories. Then, turn off and turn on the
generator again. If the alarm number reappears,
193 Front panel Footswitch button record the number and call the Covidien Service
may be stuck Center.
194 Handswitch or monopolar

footswitch cut pedal may be
stuck
195 Handswitch or monopolar

footswitch coag pedal may be
stuck
196 Handswitch or cut key may be

stuck
197 Handswitch or coag key may

be stuck
198 Handswitch or bipolar

footswitch pedal may be stuck
Troubleshooting
Department.

Department.

Department.
214 Internal component Do not attempt to use the generator. Record the

Department.
220-221 Diagnostics / microcontroller Contact your Biomedical Engineering

223-226 malfunction Department.


Department.
244-245 the Covidien Service Center.

Department.
260 Internal diagnostics Contact your Biomedical Engineering

Department.
451 The internal temperature limit Verify that the location of the generator allows
was exceeded due to length of for adequate cooling.
activation time.
Use the lowest power setting that achieves the
desired effect. Limit activation times if possible.

Chapter 8
Maintenance and Repair
This chapter presents the following information:

• The manufacturer’s responsibility
• Routine maintenance
• Returning the Force EZ-8CS generator for service
• Service centers

Responsibility of the Manufacturer
Responsibility of the Manufacturer

Covidien is responsible for the safety, reliability, and performance of the generator only
under the following circumstances:
• Installation and setup procedures in this manual are followed.
• Assembly operation, readjustments, modifications, or repairs are carried out by
persons authorized by Covidien.
• The electrical installation of the relevant room complies with local codes and regulatory
requirements, such as IEC and BSI.
• The equipment is used in accordance with the Covidien instructions for use.
For warranty information, refer to {Undefined Cross-Reference} in the Preface of this
guide.
Routine Maintenance
Notice
Refer to the generator service manual for maintenance recommendations and function and output
power verification procedures.
When should the generator be checked or serviced?

Covidien recommends that the generator be inspected by qualified service personnel at
least once a year. This inspection should include checking the calibration of the generator.
When should the power cord be checked or replaced?
Check the power cord each time you use the generator or at the intervals recommended
by your institution. Replace the power cord if you find exposed wires, cracks, frayed edges,
or a damaged connector.
When should the fuses be replaced?
An internal component malfunction can damage the fuses. You may need to replace the
fuses if the generator fails the self-test or if the generator stops functioning, even though
it is receiving power from a wall outlet. Refer to the service manual for instructions.

Returning the Generator for Service
Returning the Generator for Service

Before you return the generator, call your Covidien representative for assistance. If you are
instructed to send the generator to Covidien, first obtain a Return Authorization Number.
Then, clean the generator and ship it to Covidien for service.
Step 1 – Obtain a Return Authorization Number
Call the Covidien Customer Service Center for your area to obtain a Return
Authorization Number. Have the following information ready when you call:
• Hospital/clinic name/customer number
• Telephone number
• Department/address, city, state, and zip code
• Model number
• Serial number
• Description of the problem
• Type of repair to be done
Step 2 – Clean the Generator
Warning
Notice
A. Turn off the generator, and unplug the power cord from the wall outlet.
B. Thoroughly wipe all surfaces of the generator and power cord with a mild cleaning
solution or disinfectant and a damp cloth. Follow the procedures approved by your
institution or use a validated infection control procedure. Do not allow fluids to
enter the chassis. The generator cannot be sterilized.
Step 3 – Ship the Generator Maintenance and Repair
A. Attach a tag to the generator that includes the Return Authorization Number and
the information (hospital, phone number, etc.) listed in Step One- Obtain a Return
Authorization Number.
B. Be sure the generator is completely dry before you pack it for shipment. Package it
in its original shipping container, if available.
C. Ship the generator, prepaid, to the Covidien Service Center.

Service Centers
Service Centers
For a complete list of service centers worldwide, please refer to the Covidien web site:
http://www.valleylab.com/valleylab/international/service-world.html

Chapter 9
Technical Specifications
All specifications are nominal and subject to change without notice. A

specification referred to as “typical” is within ± 20% of a stated value at room
temperature (77° F/25° C) and a nominal input power voltage.

Performance Characteristics
General
Output configuration Isolated output
Cooling Natural convection; side and rear panel vents
Display Eight digital seven-segment displays: 0.75 in. (1.9 cm)

each
Mounting Universal Mounting cart (UC8009) or any stable flat

surface
Dimensions and Weight
Width 16 in. (40.6 cm)
Depth 15.6 in. (39.5 cm)
Height 5 in. (12.7 cm)
Weight < 15 lb (< 6.8 kg)
Operating Parameters
Ambient temperature 50° to 104° F (10° to 40° C)

range
Relative humidity 30% to 75%, noncondensing
Atmospheric pressure 700 to 1060 millibars
Warm-up time If transported or stored at temperatures outside the

operating temperature range, allow one hour for the
generator to reach room temperature before use.

Transport and Storage
Ambient temperature -29° to 149° F (-34° to 65° C)

range
Relative humidity 25% to 85%, noncondensing
Atmospheric pressure 500 to 1060 millibars
Duration of storage If stored longer than one year, the battery must be
replaced and a full checkout, including calibration, must
be completed before use. For instructions, refer to the
Force EZ Electrosurgical Generator CS/8CS Service
Manual.
Duty Cycle
Under maximum power settings and rated load conditions (Pure cut, 300 watt setting,
300 ohm load) the generator is suitable for activation times of 10 seconds on, 30 seconds
off for one hour. With lesser settings and loads, you can activate the generator for greater
durations without generating excessive internal temperatures.
If the internal temperature of the generator is too high, an alarm tone sounds and a
number (451) flashes in the Cut display alternately with the power settings. You can
activate the generator and change the power settings while this condition exists.
Internal Memory
Memory type Nonvolatile, battery-backed RAM
Battery type 3 V lithium button cell
Battery life 5 years

Storage capacity • The last 20 error codes detected by the generator
• The number of times and length of activation for

each mode
• The average power setting used for each mode
• The total time the generator is on
• Calibration constants
• Special features settings
• Last setup parameters
• Other service-related information
Audio Volume
The audio levels stated below are for activation tones (bipolar, cut, and coag) and alarm
tones (REM and system alarms) at a distance of one meter. Alarm tones meet the
requirements for IEC 60601-2-2 and AAMI HF18.
Activation Tone
Volume (adjustable) 45 to ≥ 65 dBA
Frequency Bipolar: 554 Hz

Cut: 440 Hz
Coag: 554 Hz
Duration Continuous while the generator is activated
Alarm Tone
Volume (not ≥ 65 dBA

adjustable)
Frequency 440 Hz
Duration 250 to 500 ms

REM Contact Quality Monitor
REM current is measured according to IEC 60601-1, Ed. 1988, Figure 15.
Measurement 80 kHz ± 10 kHz

frequency
Measurement current < 10 μA
Acceptable Resistance Range

REM resistance measurements are ± 10% during RF activation and ± 5% when RF output
is not activated.
REM Polyhesive patient return electrode: 5 to 135 ohms or up to a 40% increase in the
baseline contact resistance (whichever is less).
Patient return electrode without the REM safety feature (single section electrode):
0 to 20 ohms.
If the measured resistance is outside the acceptable range(s) noted above, a REM fault
condition occurs.

REM Alarm Activation

REM Polyhesive patient return electrode: When the measured resistance exceeds the
standard range of safe resistance (below 5 ohms or above 135 ohms) or when the baseline
measured contact resistance increases by 40% (whichever is less), the REM Alarm indicator
flashes red, a tone sounds twice, and RF output is disabled.
The indicator remains illuminated red until you correct the condition causing the alarm.
Then, the indicator illuminates green and RF output is enabled.
Patient return electrode without the REM safety feature: When the measured resistance
between the patient return electrode pins exceeds 20 ohms, the REM Alarm indicator
flashes red, a tone sounds twice, and RF output is disabled. The indicator remains
illuminated red until you correct the condition causing the alarm. Then, the red indicator
is extinguished and RF output is enabled.
Serial Port
RS-232 compatible; 9600 baud, 8 data bits, 1 stop bit, no parity
9-pin connector Pin 2 – isolated transmit (serial data output transmit line)
supports the following
Pin 3 – isolated receive (serial data input receive line)
signals
Pin 5 – isolated ground (reference for transmit and
receive)
RF Activation Port
The RF activation port is a subminiature telephone jack attached to the contacts of a small
relay. The contacts are closed when the output is energized and open at all other times.
This port provides a means to tell other equipment that RF current is being generated. This
may be useful when making EEG or ECG measurements.
Low Frequency (50–60 Hz) Leakage Current
Enclosure source < 100 μA

current, ground open
Source current, patient Normal polarity, intact ground: < 10 μA

leads, all outputs
Normal polarity, ground open: < 50 μA
Reverse polarity, ground open: < 50 μA
Sink current at high < 20 μA

line, all inputs

High Frequency (RF) Leakage Current
Bipolar RF leakage current < 60 mArms
Monopolar RF leakage < 150 mArms

current
Input Power
100–120 Volt 220–240 Volt
Maximum VA at nominal line voltage: Maximum VA at nominal line voltage:

Idle: 50 VA Idle: 50 VA
Bipolar: 500 VA Bipolar: 500 VA
Cut: 850 VA Cut: 850 VA
Coag: 500 VA Coag: 500 VA
Input mains voltage, full regulation Input mains voltage, full regulation
range: 90–135 Vac range: 186–264 Vac
Input mains voltage, operating range: Input mains voltage, operating range:
85–140 Vac 170–280 Vac
Mains current (maximum): Mains current (maximum):

Idle: 0.4 A Idle: 0.2 A
Bipolar: 4.2 A Bipolar: 2.1 A
Cut: 8.0 A Cut: 4.0 A
Coag: 4.2 A Coag: 2.1 A
Mains line frequency range (nominal): Mains line frequency range (nominal):
50 Hz to 60 Hz 50 Hz to 60 Hz
Mains fuse: F8.0 A Mains fuse: T4.0 A
Power cord: 3-prong hospital grade Power cord: 3-prong locally approved
connector connector

Standards and IEC Classifications
Power Cord Specification

This unit was equipped from the factory with either a 110VAC hospital grade NEMA 5-15
power cord or a 220VAC CEE7/7 power cord. Should the AC power cord need to be
replaced to match another plug configuration, the replacement plug/cable/receptacle
configuration must meet or exceed the following specifications:
100-120 VAC
Cable - SJT16/3, IEC color code, maximum length 15 ft (5 m)
Plug - minimum 10 A - 125 VAC
Unit receptacle - IEC female, minimum 10 A - 125 VAC
220-240 VAC
Cable - H05VVF3G1.0 VDE, maximum length 15’ (5 meters)
Plug - minimum 6 A - 250VAC
Unit receptacle - IEC female, minimum 6 A - 250VAC

The Force EZ-8CS generator meets all pertinent clauses of the IEC 60601-1 second edition
and IEC 60602-2-2 third edition.
ATTENTION
Consult accompanying documents.
F The generator output is floating (isolated) with respect to ground.
Danger
Explosion risk if used with flammable anesthetics.
Rear Panel—To reduce the risk of electric shock, do not remove the
cover. Refer servicing to qualified service personnel.
Front Panel—Dangerous Voltage Output.

Non-Ionizing Radiation
Classified with respect to electrical shock, fire, and mechanical

hazards only in accordance with UL60601-1 and CAN/CSA C22.2
No. 601.1.
Class I Equipment (IEC 60601-1)

Accessible conductive parts cannot become live in the event of a basic insulation failure
because of the way in which they are connected to the protective earth conductor.
Type CF Equipment (IEC 60601-1)/Defibrillator Proof
The Force EZ-8CS generator provides a high degree of protection

against electric shock, particularly regarding allowable leakage
currents. It is type CF isolated (floating) output and may be used for
procedures involving the heart.
The Force EZ-8CS generator patient return electrode terminal is
protected from defibrillator discharge according to ANSI/AAMI HF18
and IEC 60601-2-2.
Liquid Spillage (IEC 60601-2-2 Clause 44.3)

The Force EZ-8CS generator enclosure is constructed so that liquid spillage in normal use
does not wet electrical insulation or other components, which when wetted, are likely to
adversely affect the safety of the equipment.
Electromagnetic Interference
When placed on or beneath an activated Covidien electrosurgical generator, the
Force EZ-8CS generator operates without interference. The generator minimizes
electromagnetic interference to video equipment used in the operating room. The
generator complies with the requirements of IEC 61000-4-2.

Electromagnetic Compatibility (IEC 60601-1-2 and

IEC 60601-2-2)
The Force EZ-8CS generator complies with the appropriate IEC 60601-1-2 and
IEC 60601-2-2 specifications regarding electromagnetic compatibility.
Applied Parts E2515, E2516, E2003, E4053-CT, E7507, E7506, E6008B, and E6009
were tested with the unit and the combination was found to be in compliance with
IEC 60601-2-2 (Third Edition). Safety of use of other accessories, not identified in
these instructions, has not been determined by Underwriters Laboratories, Inc.
Notice
The Force EZ generator requires special precautions regarding EMC and needs to be installed and
put into service according to the EMC information provided in the Force EZ Electrosurgical
Generator CS/8CS Service Manual.
Portable and mobile RF communications equipment can affect the Force EZ. Refer to the EMC
information provided in the Force EZ Electrosurgical Generator CS/8CS Service Manual.
Voltage Transients (Emergency Generator Mains Transfer)

The Force EZ-8CS generator operates in a safe manner when the transfer is made between
line AC and an emergency generator voltage source.

Output Characteristics
Maximum Output for Force EZ-8CS Generator Modes

Power readouts agree with actual power into rated load to within 15% or 5 watts,
whichever is greater.
Mode Open Rated Load Power Crest

Circuit P-P (max) (max) Factor1
Voltage (typical @
(max) Rated Load)
Bipolar 300 V 100 Ω 70 W 1.5
Monopolar Cut
Pure 2000 V 300 Ω 300 W 1.5
Blend 3400 V 300 Ω 200 W 2.1
Monopolar Coag
Desiccate 1 3500 V 500 Ω 120 W 5.0
Desiccate 2 660 V 300 Ω 120 W 1.5
Desiccate 3 1100 V 300 Ω 120 W 1.5
Fulgurate 1 6000 V 500 Ω 120 W 4.9
Fulgurate 2 8500 V 500 Ω 120 W 7.0

1. An indication of a waveform’s ability to coagulate bleeders without a cutting effect
Available Power Settings in Watts
Bipolar
1 2 3 4 5 6 7 8 9 10
11 12 13 14 15 16 17 18 19 20
21 22 23 24 25 26 27 28 29 30
31 32 33 34 35 36 37 38 39 40
45 50 55 60 65 70

Monopolar Cut: Pure
1 2 3 4 5 6 7 8 9 10
11 12 13 14 15 16 17 18 19 20
21 22 23 24 25 26 27 28 29 30
31 32 33 34 35 36 37 38 39 40
45 50 55 60 65 70 75 80 85 90
95 100 110 120 130 140 150 160 170 180
190 200 210 220 230 240 250 260 270 280
290 300

Monopolar Cut: Blend
1 2 3 4 5 6 7 8 9 10
11 12 13 14 15 16 17 18 19 20
21 22 23 24 25 26 27 28 29 30
31 32 33 34 35 36 37 38 39 40
45 50 55 60 65 70 75 80 85 90
95 100 110 120 130 140 150 160 170 180
190 200
Monopolar Coag
1 2 3 4 5 6 7 8 9 10
11 12 13 14 15 16 17 18 19 20
21 22 23 24 25 26 27 28 29 30
31 32 33 34 35 36 37 38 39 40
45 50 55 60 65 70 75 80 85 90
95 100 110 120

Output Waveforms
Instant Response technology, an automatic adjustment, controls the bipolar mode, the cut
modes, and the desiccate 2 and desiccate 3 coag settings. It does not control the desiccate
1, fulgurate 1, and fulgurate 2 coag modes. As tissue resistance increases from zero, the
generator outputs constant current followed by constant power followed by constant
voltage. The maximum output voltage is controlled to reduce capacitive coupling and
video interference and to minimize sparking.
Bipolar
Standard 470 kHz sinusoid
Monopolar Cut
Pure 393 kHz sinusoid
Blend 393 kHz bursts of sinusoid recurring at 27.1 kHz

intervals, 50% duty cycle
Monopolar Coag
Desiccation
Desiccate 1 240 ± 40 kHz sinusoid recurring at 39 kHz. 8% duty

cycle at open load
Desiccate 2 393 kHz sinusoid
Desiccate 3 393 kHz sinusoid
Fulguration
Fulgurate 1 470 kHz damped sinusoidal bursts with a repetition

frequency of 57 kHz at open load
Fulgurate 2 470 kHz damped sinusoidal bursts with a repetition

frequency of 30 kHz at open load

Output Power vs. Resistance Graphs
The graphs that follow depict the changes for each mode at specific power settings.
Note: These curves represent the lower and upper limits of output power with tolerance
included. The normal output power will be halfway between these two curves.
Bipolar Graph
The insulating surface described in IEC 60601-2-2 and full length leads was used to obtain
the bipolar output measurements.
Standard Bipolar 35 W mode — load resistance vs. output power
① Output Power (watts)

② Load Resistance (ohms)

Standard Bipolar 70W mode — load resistance vs. output power

Note: In the Bipolar Standard mode only, the power curve will reflect both High and
Low output values between the impedance range of 800-1000 ohms. This is based on
the sensed impedance value the generator calculates, and the tolerances of the
sensing circuits. This is a function of the generator, as the software is designed to
reduce (switch to Low output) the output power when the impedance exceeds a
reference (800-1000 ohms impedance) level. Clinically, above 800 ohms the tissue is
almost completely desiccated. By dropping to lower output power levels, we allow the
surgeon sufficient time to deactivate the output before tissue sticking occurs.

Monopolar Cut Graphs
Covidien used the procedures described in IEC 60601-2-2 and full length leads to obtain
the monopolar cut output measurements.
Pure 150W mode — load resistance vs. output power

Pure 300W mode — load resistance vs. output power


Blend 100W mode — load resistance vs. output power

Blend 200W mode — load resistance vs. output power


Monopolar Coag Graphs
The procedures described in IEC 60601-2-2 and full length leads were used to obtain the
monopolar coag output measurements.
Low 1 (Desiccate) 60W mode — load resistance vs. output power









High 1 (Fulgurate) 60W mode — load resistance vs. output power






Output Power vs. Generator Settings

Standard Bipolar mode @ 100 ohms — generator setting vs. output power
70
60
50
40
1
30
20
10
0
0 10 20 30 40 50 60 70
2

② Generator Setting
Standard Bipolar mode — peak voltage vs. output power

140
120
100
80
1
60
40
20
0
1 10 20 30 40 50 60 70
2
① Open Circuit Peak Voltage (volts)

② Output Power (watts)

Pure mode @ 300 ohms — generator setting vs. output power
300
250
200
1 150
100
50
0
0 100 200 300
2

Pure mode — peak voltage vs. output power

1000
800
600
1
400
200
0
1
20
40
60
80
100
120
140
160
180
200
220
240
260
280
300


Blend mode @ 300 ohms — generator setting vs. output power

200
180
160
140
120
1 100
80
60
40
20
0
0 50 100 150 200
2

Blend mode — peak voltage vs. output power

1600
1400
1200
1000
1 800
600
400
200
0
1
20
40
60
80
100
120
140
160
180
200


Low 1 (Desiccate) mode @ 500 ohms — generator setting vs. output power

Low 1 (Desiccate) mode — peak voltage vs. output power

2500
2000
1500
1
1000
500
0
1 10 20 30 40 50 60 70 80 90 100 110 120
2


Low 2 (Desiccate) mode @ 300 ohms— generator setting vs. output power
120
100
80
1 60
40
20
0
0 20 40 60 80 100 120
2


300
250
200
1 150
100
50
0
1 10 20 30 40 50 60 70 80 90 100 110 120
2


Low 3 (Desiccate) mode @ 300 ohms— generator setting vs. output power
120
100
80
1 60
40
20
0
0 20 40 60 80 100 120
2


500
450
400
350
300
1 250
200
150
100
50
0
1 10 20 30 40 50 60 70 80 90 100 110 120
2


High 1 (Fulgurate) mode @ 500 ohms— generator setting vs. output power
120
100
80
1 60
40
20
0
0 20 40 60 80 100 120
2

High 1 (Fulgurate) mode — peak voltage vs. output power

3500
3000
2500
2000
1
1500
1000
500
0
1 10 20 30 40 50 60 70 80 90 100 110 120
2


High 2 (Fulgurate) mode @ 500 ohms— generator setting vs. output power
120
100
80
1 60
40
20
0
0 20 40 60 80 100 120
2

High 2 (Fulgurate) mode — peak voltage vs. output power

4500
4000
3500
3000
1 2500
2000
1500
1000
500
0
1 10 20 30 40 50 60 70 80 90 100 110 120
2



Part No. 1013085
COVIDIEN, COVIDIEN with logo and Covidien logo are U.S. and/or
internationally registered trademarks of Covidien AG.
Other brands are trademarks of a Covidien company.
One or more U.S. Patents 5,370,645; 5,599,344.

Consult
instructions
for use © 2011 Covidien.
Made in China. Printed in China.

Manufactured for Covidien llc, 15 Hampshire Street,
0086
Mansfield, MA 02048 USA.
Covidien Ireland Limited, IDA Business & Technology Park,
Tullamore.
www.covidien.com 1-303-530-2300 [T]
1-800-255-8522 [T]
REV 02/2011

Force EZ: Electrosurgical Generator 8CS

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User’s Guide

Electrosurgical Generator 8CS

Electrosurgical Generator 8CS

Force EZ Electrosurgical Generator 8CS User’s Guide i

Conventions Used in this Guide

ii Force EZ Electrosurgical Generator 8CS User’s Guide

ForceTriadTM Energy Platform One year from date of shipment

Electrosurgical Generators One year from date of shipment

Cool-tipTM RFA Generator One year from date of shipment

EvidentTM MWA Generator One year from date of shipment

RFG-3CTM Plus Lesion Generator One year from date of shipment

LigaSureTM Vessel Sealing System One year from date of shipment

LigaSureTM Reusable Instruments One year from date of shipment

Mounting Fixtures (all models) One year from date of shipment

Footswitches (all models) One year from date of shipment

RapidVacTM Smoke Evacuator One year from date of shipment

LigaSureTM Sterile Single Use Items Sterility only as stated on packaging

Cool-tipTM Sterile Single Use Items Sterility only as stated on packaging

Sterile Single Use Items Sterility only as stated on packaging

Patient Return Electrodes Shelf life only as stated on packaging

Force EZ Electrosurgical Generator 8CS User’s Guide iii

Notwithstanding any other provision herein or in any other document or communication,

iv Force EZ Electrosurgical Generator 8CS User’s Guide

Force EZ Electrosurgical Generator 8CS User’s Guide v

vi Force EZ Electrosurgical Generator 8CS User’s Guide

Force EZ Electrosurgical Generator 8CS User’s Guide vii

viii Force EZ Electrosurgical Generator 8CS User’s Guide

This chapter includes the following information:

Force EZ Electrosurgical Generator 8CS User’s Guide 1-1

Instant Response Technology

1-2 Force EZ Electrosurgical Generator 8CS User’s Guide

Monopolar Cut and Coag Modes

Force EZ Electrosurgical Generator 8CS User’s Guide 1-3

REM Contact Quality Monitoring System

How the REM System Works

Electrodes Without the REM Safety Feature

1-4 Force EZ Electrosurgical Generator 8CS User’s Guide

Desiccate Coag Settings

Fulgurate Coag Settings

Recall of Most Recently Used Modes and Power Settings

Default Coag Mode

Force EZ Electrosurgical Generator 8CS User’s Guide 1-5

Original Default Settings

Mode or Feature Original Default Setting

Desiccate coag setting 1 (desiccate 1)

Fulgurate coag setting 2 (fulgurate 2)

Last used modes and power settings 1 (on)

1-6 Force EZ Electrosurgical Generator 8CS User’s Guide

Force EZ Electrosurgical Generator 8CS User’s Guide 2-1

2-2 Force EZ Electrosurgical Generator 8CS User’s Guide

Force EZ Electrosurgical Generator 8CS User’s Guide 2-3

Bipolar Instrument Receptacle

Connect a footswitching instrument with a two-pin connector.

Footswitch Receptacle, Button, and Indicators

2-4 Force EZ Electrosurgical Generator 8CS User’s Guide

Monopolar Cut Controls

Force EZ Electrosurgical Generator 8CS User’s Guide 2-5

Monopolar Coag Controls

2-6 Force EZ Electrosurgical Generator 8CS User’s Guide

Monopolar Instrument Receptacles

To activate the instrument, connect a monopolar footswitch to the front panel.

Monopolar Footswitching or Handswitching Instrument

To activate a footswitching instrument, connect a monopolar footswitch to the rear panel.